Individual provider · Type 1 NPI

Colleen M. Canavan, PA

Physician Assistant · Jerseyville, IL

NPI number 1205090644 Active

Practice location

390 Maple Summit Rd
Jerseyville, IL 62052-2000

Call (618) 498-2101 Map

Fax (618) 498-8153

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085000651 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205090644

Colleen M. Canavan, PA's National Provider Identifier is 1205090644, issued on Jul 15, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jerseyville, IL. The record was last updated on Sep 21, 2016.